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Date : 00.00.00

Name of the Patient : Abc Xyzhandra Dolmn / M / 86 yrs.
Referred by : Dr. Abc Xyzmpat.
Examination : M.R.I. of the Brain.

CLINICAL PROFILE :

C/O facial palsy on 00.00.00.

EXAMINATION :

M.R.I of the brain was performed using the following parameters :

5 mm thick T1 Weighted , proton and T2 Weighted axial images.

5 mm thick Fast Scan (T2 *) and FLAIR coronal images.

5 mm thick T1 Weighted sagittal images.

OBSERVATION :

There are hyperintense areas on the proton, T2 Weighted and FLAIR images in the periventricular deep white matter in the corona radiata and centrum semiovale bilaterally, the lentiform nucleus on the right side posteriorly and inferior cerebellar vermis. Few smaller lesions are also noted in the temporal lobes bilaterally. These are iso to hypointense to white matter on the T1 Weighted images and are suggestive of ischemic areas.

There is mild dilatation of the ventricular system. There is prominence of the cerebral cortical sulcal spaces in the fronto-parietal regions and cerebellar folia bilaterally.

The basal cisternal spaces are unremarkable.There is no shift of the midline structures. No obvious vascular anomaly is identified on this study.

Incidental note is made of an empty sella.

IMPRESSION :

Areas of altered signal intensity in the periventricular deep white matter, corona radiata and centrum semiovale bilaterally, inferior cerebellar vermis, right lentiform nucleus and temporal lobes represent ischemic changes.
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